October 2017 Briefing - Psychiatry

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Here are what the editors at HealthDay consider to be the most important developments in Psychiatry for October 2017. This roundup includes the latest research news from journal articles, as well as the FDA approvals and regulatory changes that are the most likely to affect clinical practice.

Football Career Length, Position Affect White Matter Structure

TUESDAY, Oct. 31, 2017 (HealthDay News) -- For former collegiate and professional football players, career duration and primary playing position appear to modify the effects of concussion history on white matter structure and neural recruitment, according to a study published online Oct. 31 in Radiology.

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Fentanyl or Analogs Tied to More Than Half of All Opioid Deaths

TUESDAY, Oct. 31, 2017 (HealthDay News) -- Fentanyl was involved in more than half of opioid overdose deaths reported in the second half of 2016, according to a study published online Oct. 27 in Morbidity and Mortality Weekly Report.

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Retinal Sensitivity Linked to Cognitive Status in T2DM

TUESDAY, Oct. 31, 2017 (HealthDay News) -- In patients with type 2 diabetes, retinal sensitivity is associated with cognitive status, according to a study published in the September issue of Diabetes.

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Depressive Symptoms Increase During Internship Year

TUESDAY, Oct. 31, 2017 (HealthDay News) -- Depressive symptoms increase during the internship year for training physicians, with a greater increase among women, according to a study published online Oct. 30 in JAMA Internal Medicine.

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Maternal Use of Acetaminophen Linked to ADHD in Offspring

MONDAY, Oct. 30, 2017 (HealthDay News) -- Maternal use of acetaminophen in pregnancy is associated with attention-deficit/hyperactivity disorder (ADHD) in offspring, according to a study published online Oct. 30 in Pediatrics.

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Many Teenagers Unaware That Adderall Is an Amphetamine

THURSDAY, Oct. 26, 2017 (HealthDay News) -- Adolescents appear to underreport their nonmedical amphetamine use, which may be in part due to lacking awareness that Adderall is an amphetamine, according to a study published online Oct. 23 in Drug and Alcohol Dependence.

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Locus ID'd That Links Comorbid Alcohol Dependence, Depression

THURSDAY, Oct. 26, 2017 (HealthDay News) -- A newly identified genetic risk variant is associated with comorbid alcohol dependence (AD) and major depression (MD) in African Americans, according to a study published online Oct. 25 in JAMA Psychiatry.

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Gifts From Pharma Companies Influence Prescribing Behavior

THURSDAY, Oct. 26, 2017 (HealthDay News) -- Receipt of gifts from pharmaceutical companies is associated with more prescriptions per patient and more costly prescriptions, according to a study published online Oct. 25 in PLOS One.

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Most Patients Satisfied With Relationship With Physician

WEDNESDAY, Oct. 25, 2017 (HealthDay News) -- Results of the Physicians Foundation 2017 Patient Survey show that most patients are satisfied with their overall relationship with their physician, according to an article published by the American Academy of Family Physicians.

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Researchers Study Mediating Role of Leptin in Bulimia

WEDNESDAY, Oct. 25, 2017 (HealthDay News) -- Leptin appears to mediate the correlation between weight suppression (WS) and duration of illness in bulimia nervosa-syndrome (BN-S), according to a study published online Oct. 16 in the International Journal of Eating Disorders.

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DEA Taking Back Unwanted Prescription Drugs on Oct. 28

TUESDAY, Oct. 24, 2017 (HealthDay News) -- The public is being given its 14th opportunity to safely dispose of pills and patches at collection points operated by the U.S. Drug Enforcement Agency (DEA) and its partners.

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Most in U.S. Don't Agree That Household Guns Up Suicide Risk

TUESDAY, Oct. 24, 2017 (HealthDay News) -- Most U.S. adults do not agree that household firearms increase the risk of suicide, according to a research letter published online Oct. 23 in the Annals of Internal Medicine.

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Design Thinking Enables Med Students to Solve Challenges

MONDAY, Oct. 23, 2017 (HealthDay News) -- A joint effort between students at Warren Alpert Medical School of Brown University and Rhode Island School of Design (RISD) is training future physicians in design thinking to help identify and repair health system issues that contribute to physician burnout, according to an article by the American Medical Association.

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Psychosocial Intervention May Boost Hospitalization Satisfaction

MONDAY, Oct. 23, 2017 (HealthDay News) -- A brief psychosocial intervention in which physicians ask inpatients about their current situation and respond empathetically appears to improve the hospitalization experience, according to a study published in the October issue of Family Medicine.

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Limited Evidence of Benefit for Medical Cannabinoids in Children

MONDAY, Oct. 23, 2017 (HealthDay News) -- The strongest evidence for benefit of cannabinoids in children is for chemotherapy-induced nausea and vomiting, with more research needed to assess its role as a medical treatment, according to a review published online Oct. 23 in Pediatrics.

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Alcoholic Cirrhosis Linked to Increased Admissions, Costs

FRIDAY, Oct. 20, 2017 (HealthDay News) -- Compared with patients who have non-alcoholic cirrhosis, those with alcoholic cirrhosis are sicker at presentation, have more admissions and readmissions, and have nearly double the health care costs, according to a study scheduled for presentation at The Liver Meeting, being held by the American Association for the Study of Liver Diseases from Oct. 20 to 24 in Washington, D.C.

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Clinician Job Satisfaction Linked to Improved Burnout Scores

FRIDAY, Oct. 20, 2017 (HealthDay News) -- Clinicians' job satisfaction is associated with improved burnout scores and reduced intention to leave their practices, according to a study published in the October issue of Health Affairs.

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Conditions Tied to Clinician Dissatisfaction Are Modifiable

THURSDAY, Oct. 19, 2017 (HealthDay News) -- Modifiable conditions, like chaos, incohesiveness, and lack of communication, contribute to unsatisfying workplaces for clinicians, according to a study published in the October issue of Health Affairs.

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Key Stakeholders Discuss How to Make EHRs More Usable

THURSDAY, Oct. 19, 2017 (HealthDay News) -- Key stakeholders and physicians discussed electronic health record (EHR) usability and optimization in the American Medical Association Running Your Practice Community.

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Extended-Release Naltrexone Promising for Opioid Dependence

WEDNESDAY, Oct. 18, 2017 (HealthDay News) -- Extended-release naltrexone is noninferior to buprenorphine-naloxone for maintaining short-term abstinence from heroin and other illicit substances, according to a study published online Oct. 18 in JAMA Psychiatry.

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Sharing Passwords Is Widespread Among Medical Staff

WEDNESDAY, Oct. 18, 2017 (HealthDay News) -- Sharing of passwords to access electronic medical records is common among medical staff members, according to a study published in the July issue of Healthcare Informatics Research.

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Potentially Preventable Spending Concentrated in Frail Elderly

TUESDAY, Oct. 17, 2017 (HealthDay News) -- Much of the total potentially preventable spending for Medicare beneficiaries is concentrated among frail elderly individuals, according to a study published online Oct. 16 in the Annals of Internal Medicine.

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Doctors Urged to Speak With Patients About Firearms

TUESDAY, Oct. 17, 2017 (HealthDay News) -- Physicians should make a public commitment to speak with their patients about firearms, according to an opinion piece published online Oct. 16 in the Annals of Internal Medicine.

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Screening Tools Identify Potentially Inappropriate Meds

TUESDAY, Oct. 17, 2017 (HealthDay News) -- Internal medicine patients are frequently prescribed potentially inappropriate medications (PIMs), but screening tools can detect clinically relevant PIMs, according to a study published online Oct. 8 in the Journal of Clinical Pharmacy and Therapeutics.

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Female Physicians May Be Especially at Risk of Burnout

TUESDAY, Oct. 17, 2017 (HealthDay News) -- Female physicians are more burned out than their male colleagues, but there are steps they can take to reduce the stress associated with burnout, according to a blog post published in Medical Economics.

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Ketamine Not Linked to PTSD in Military Trauma Setting

TUESDAY, Oct. 17, 2017 (HealthDay News) -- Ketamine administration is not associated with post-traumatic stress disorder (PTSD) in the military trauma setting, according to a study published online Oct. 3 in Anaesthesia.

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Most Female Physicians Have Faced Sexist Patient Comments

MONDAY, Oct. 16, 2017 (HealthDay News) -- Most female physicians have been sexually harassed by patients at some point in their careers, according to a blog post published in Medical Economics.

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Online Ratings Not Aligned With Objective Quality Measures

MONDAY, Oct. 16, 2017 (HealthDay News) -- Online consumer ratings of specialist physicians do not predict objective measures of quality of care or peer assessment of clinical performance, according to a study published online Sept. 8 in the Journal of the American Medical Informatics Association.

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Many College Students Believe Stimulants Can Boost Grades

MONDAY, Oct. 16, 2017 (HealthDay News) -- More than one-quarter of college students report believing that nonmedical use of prescription stimulants (NPS) can improve academic performance, according to a study published in the January 2018 issue of Addictive Behaviors.

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Bright White Light Therapy Promising for Bipolar Depression

MONDAY, Oct. 16, 2017 (HealthDay News) -- Midday bright light therapy may be effective for treating bipolar depression, according to a study published online Oct. 3 in The American Journal of Psychiatry.

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Mental Health Issues Impact Retirement Saving Behavior

FRIDAY, Oct. 13, 2017 (HealthDay News) -- Mental health, as assessed by psychological distress, is associated with retirement saving behavior, according to a report published online Aug. 29 in Health Economics.

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Pre-Retirement Morbidity Higher in Later Birth Cohorts

FRIDAY, Oct. 13, 2017 (HealthDay News) -- Americans who must work longer to reach Social Security retirement age have worse measures of health in the years leading up to retirement, according to a study published in the October issue of Health Affairs.

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Serious Suffering Affects Almost Half of Those Who Die Yearly

FRIDAY, Oct. 13, 2017 (HealthDay News) -- In 2015, more than 25.5 million people who died worldwide experienced serious health-related suffering (SHS), and the vast majority lacked access to palliative care and pain relief, according to a report published online Oct. 12 in The Lancet.

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Ride-Sharing Services Could Cut Alcohol-Related Crashes

FRIDAY, Oct. 13, 2017 (HealthDay News) -- Ride-sharing services may reduce the rate of motor vehicle crashes, particularly alcohol-involved crashes, in some cities, according to a study published online Oct. 4 in the American Journal of Epidemiology.

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Quality Issues for Both Paper-, Electronic-Based Health Records

FRIDAY, Oct. 13, 2017 (HealthDay News) -- Both paper-based and electronic health records (EHRs) have shortcomings in terms of quality of content, process, and structure, with poor quality of nursing documentation seen for both methods, according to a study published online Oct. 5 in the Journal of Clinical Nursing.

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Court Considering Fate of Noneconomic Damages Cap

THURSDAY, Oct. 12, 2017 (HealthDay News) -- The Wisconsin Supreme Court is considering whether it will hear a case that will determine the fate of the state's $750,000 cap on noneconomic damages, according to an article published by the American Medical Association (AMA).

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New System Streamlines CME Credit Approval Process

THURSDAY, Oct. 12, 2017 (HealthDay News) -- The American Academy of Family Physicians (AAFP) and the American Board of Family Medicine (ABFM) have launched a new performance improvement activity credit reporting process called the AAFP Credit System, according to an article published by the AAFP.

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Low-Cost Services a Major Player in Unnecessary Health Spending

THURSDAY, Oct. 12, 2017 (HealthDay News) -- The costs associated with low-cost, low-value health services are nearly twice as high as those of high-cost, low-value services, according to a study published in the October issue of Health Affairs.

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Medical License Questions Sway Doctors' Mental Health Help

WEDNESDAY, Oct. 11, 2017 (HealthDay News) -- Medical licensure application questions (MLAQs) regarding mental health contribute to physicians' reluctance to seek help for mental health, according to a study published in the October issue of Mayo Clinic Proceedings.

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Physician Salaries Appear to Be Flat or Declining

WEDNESDAY, Oct. 11, 2017 (HealthDay News) -- Anecdotally, physician career coaches report that physician salaries are flat at best, according to an article published in Medical Economics.

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Guide Offers Doctors Tips for Choosing a Health System

TUESDAY, Oct. 10, 2017 (HealthDay News) -- A guide has been developed to assist physicians considering joining a physician-led integrated health system, according to a report published by the American Medical Association (AMA).

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Pediatric Physicians Should Revisit Approaches to Marijuana

TUESDAY, Oct. 10, 2017 (HealthDay News) -- In light of the changing legal status of marijuana, physicians should provide counseling on its effects to adolescents, according to an opinion article published online Oct. 9 in JAMA Pediatrics.

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Medicare Coverage Restrictions for Opioids Rose From '06 to '15

TUESDAY, Oct. 10, 2017 (HealthDay News) -- In an effort to restrict daily allowable prescribed dosing of prescription opioids, Medicare Part D formularies increasingly used quantity limits and prior authorization from 2006 to 2015, according to a research report published online Oct. 9 in the Annals of Internal Medicine.

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Novel Metrics Suggested for Assessing EHR Use

TUESDAY, Oct. 10, 2017 (HealthDay News) -- Novel metrics have been developed to assess electronic health record (EHR) use and are described in an opinion article published online Oct. 9 in the Annals of Internal Medicine.

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2016 Physician Quality Reporting System Reports Available

MONDAY, Oct. 9, 2017 (HealthDay News) -- The 2016 Physician Quality Reporting System (PQRS) and the 2016 annual Quality and Resource Use reports have been released for individuals and group practices, according to a report published by the American Academy of Family Physicians.

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Injured Patients Want More Info on Safety Improvement Efforts

MONDAY, Oct. 9, 2017 (HealthDay News) -- Communication-and-resolution program (CRP) experiences are positive overall for a small majority of patients and families, but they report that hospitals rarely share information about preventing recurrences, according to a study published online Oct. 9 in JAMA Internal Medicine.

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New Online Tool Aids Search for Alcohol Treatment

MONDAY, Oct. 9, 2017 (HealthDay News) -- The National Institute on Alcohol Abuse and Alcoholism (NIAAA) has released a new online resource to help people recognize and find high-quality care for alcohol use disorder.

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Antisocial Behavior May Be Highly Polygenic

MONDAY, Oct. 9, 2017 (HealthDay News) -- Antisocial behavior (ASB) may be highly polygenic, with sex-discordant associations identified for some loci, according to a study published online Oct. 4 in JAMA Psychiatry.

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Reduction Mammaplasty Linked to Improved HRQoL in Teens

FRIDAY, Oct. 6, 2017 (HealthDay News) -- For adolescents with macromastia, reduction mammaplasty is associated with significant improvements in health-related quality of life and breast-related symptoms, according to a study published online Oct. 6 in Pediatrics.

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Increased Heart Rate in Response to Viewing Hockey Games

FRIDAY, Oct. 6, 2017 (HealthDay News) -- Viewing a live or televised hockey game is associated with heart rate response equivalent to vigorous or moderate physical stress, respectively, according to a study published online Oct. 5 in the Canadian Journal of Cardiology.

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Short-Lived Benefits for Abusive Supervisory Behavior

FRIDAY, Oct. 6, 2017 (HealthDay News) -- Engaging in abusive supervisory behavior may be associated with short-term beneficial effects, but over longer periods of time, abusive supervisory behavior is negatively related to supervisors' recovery level and engagement, according to a study published online Sept. 11 in the Academy of Management Journal.

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Stronger Nocebo Effect When Inert Rx Labeled As Expensive

FRIDAY, Oct. 6, 2017 (HealthDay News) -- Nocebo hyperalgesia is stronger when an inert treatment is labeled as being an expensive medication rather than a cheap one, according to a study published online Oct. 5 in Science.

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21 Percent of Americans Report Experiencing a Medical Error

THURSDAY, Oct. 5, 2017 (HealthDay News) -- More than one in five patients report having experienced a medical error, according to a survey released Sept. 28 by the Institute for Healthcare Improvement (IHI)/National Patient Safety Foundation Lucian Leape Institute and NORC at the University of Chicago.

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Reasons Physicians Are Delaying Retirement Vary

THURSDAY, Oct. 5, 2017 (HealthDay News) -- Physicians are delaying retirement, often because they feel they are providing a useful service to patients or because of concerns about social interaction in retirement, according to an article published online Sept. 25 in Medical Economics.

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Maternal Multivitamin Use Tied to Lower Risk of Child ASD

THURSDAY, Oct. 5, 2017 (HealthDay News) -- Multivitamin supplementation during pregnancy is tied to a reduced risk of autism spectrum disorder (ASD) with intellectual disability, according to a study published online Oct. 4 in BMJ.

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Post-MI, One in Four Detached From Employment After 1 Year

THURSDAY, Oct. 5, 2017 (HealthDay News) -- About one-quarter of adults discharged after first-time myocardial infarction (MI) are detached from employment after one year, according to a study published online Oct. 4 in the Journal of the American Heart Association.

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Mid-Adulthood HTN Tied to Higher Dementia Risk in Women

THURSDAY, Oct. 5, 2017 (HealthDay News) -- Mid-adulthood hypertension is associated with increased risk of dementia among women but not men, according to a study published online Oct. 4 in Neurology.

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Pay Inequality, Work-Life Balance Top Concerns for Female Docs

WEDNESDAY, Oct. 4, 2017 (HealthDay News) -- Many female physicians report feeling disadvantaged when negotiating contracts and feel that they are assessed for promotion using different criteria than those used for men, according to a report published by the American Medical Association (AMA).

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Stepped Care Intervention Beneficial After Natural Disaster

WEDNESDAY, Oct. 4, 2017 (HealthDay News) -- A stepped care (SC) case-finding intervention is beneficial for individuals with post-traumatic stress disorder after a natural disaster, according to a study published online Oct. 4 in JAMA Psychiatry.

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Patient Factors Differ for Surgical, All-Cause Readmission

WEDNESDAY, Oct. 4, 2017 (HealthDay News) -- For patients undergoing total hip arthroplasty (THA), factors associated with 30-day readmission resulting in return to theater (RTT) include comorbidities likely to affect patient behavior, according to a study published online Oct. 4 in JAMA Surgery.

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Scientists Support Genome Editing to Prevent Disease

WEDNESDAY, Oct. 4, 2017 (HealthDay News) -- Many basic scientists and clinical researchers support somatic genome editing in adults for prevention of serious disease but not for human enhancement; they also believe the public should be consulted before any clinical application of germline gene editing proceeds, according to survey results published online Oct. 3 in Circulation: Cardiovascular Genetics.

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Communication Program Doesn't Raise Hospital Liability Costs

TUESDAY, Oct. 3, 2017 (HealthDay News) -- A communication-and-resolution program, in which hospitals and liability insurers communicate with patients when adverse events occur, does not lead to higher liability costs, according to a study published online Oct. 2 in Health Affairs.

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Subjective Cognitive Decline Linked to Global Tau Burden

TUESDAY, Oct. 3, 2017 (HealthDay News) -- For clinically healthy older adults, subjective cognitive decline (SCD) is associated with increasing entorhinal cortical tau burden and β-amyloid (Aβ) burden, according to a study published online Oct. 2 in JAMA Neurology.

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Hospital Discharges for Prescription Opioids Have Fallen

TUESDAY, Oct. 3, 2017 (HealthDay News) -- Prescription opioid-related inpatient and emergency department (ED) discharges have decreased since 2010, while heroin-related discharges have increased sharply since 2008, according to a study published online Oct. 2 in Health Affairs.

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Regular Leisure-Time Exercise May Cut Incidence of Depression

TUESDAY, Oct. 3, 2017 (HealthDay News) -- Regular leisure-time exercise of any intensity is associated with reduced incidence of future depression, according to a study published online Oct. 3 in The American Journal of Psychiatry.

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Opioid Manufacturers to Provide Doctor Training

MONDAY, Oct. 2, 2017 (HealthDay News) -- In an effort to halt the ongoing opioid addiction crisis, U.S. regulators are requiring manufacturers to provide extensive training to doctors, according to a report published by the Associated Press.

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Odds of Emergency Care Up for Youth With Justice Involvement

MONDAY, Oct. 2, 2017 (HealthDay News) -- Youth with justice involvement are more likely to have used an emergency department (ED) or emergency service, according to two studies published online Oct. 2 in Pediatrics.

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Legal Cannabis Use Common Among Cancer Patients

MONDAY, Oct. 2, 2017 (HealthDay News) -- In Washington state, where cannabis is legal, cancer patients have high rates of active use, and they report that legalization was an important factor in their decision to use, according to a study published online Sept. 25 in Cancer.

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